| NPI | 1336520329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.002025196) |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 124Q00000X Dental Hygienist (Licence: HI 1696) | |
| 124Q00000X Dental Hygienist (Licence: VA 0402203045) | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2022-01-13 |